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1083097703
ERIC PAUL CERVIN NELSON
MERIDIAN, ID
NPI
1083097703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-4679)
Enumeration Date
2015-06-30
Last Update Date
2016-06-06
Business Address
Dr. ERIC PAUL CERVIN NELSON D.D.S.
1311 E CENTRAL DR
MERIDIAN, ID 83642-7991
Phone number: 208-373-1855
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Mailing Address
Dr. ERIC PAUL CERVIN NELSON D.D.S.
107 BUTTE RD
CHELAN, WA 98816-9529
Phone number: 509-679-9290
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